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Home My WebLink About24-4482 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 24-4482 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 STRUCK RESERVATION z 3❑ DATE OF; M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION.. 04 - 1-— 2024 0750 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ TALBOT RD S BLOCK NO. e✓ 1500 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ VV e S PUGET DR 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2062351628 0 11 30 6� LAST NAME LIANG FIRSTNAME JIAYI MIDDLE N 1 1 2 31 INITIAL STREET ❑ 12334 SE 158TH ST CITY RENTON ST WA Zlp' 980584729 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� CHK8402 sTArI WAvIN# 7MUDAABG3PV054081 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR. 3 1 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 2 2023 TOYT COROL UT DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 14 LIABILIT INSURANCE INSURANCE CO AMERICAN FAMILY 2304.0991.01.65-FPPA-WA 4 IN EFFECT 35 &POLICY# 9TOP VEwcLE CHARGE 5 36 LEGALLY Yes❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2539882939 LAST NAME GIPSON FIRST NAME JAWAAD MIDDLE W INITIAL 17❑ STREET ❑', 24923 111 TH AVE SE APT 7 CITY' KENT ST WA ZIP 980305622 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 DRIVER'S STATE WA SEX M D.C... 09 _ 28 _ 1983 39 LICENSE# MMDDYY H USE CLASS NJAURSY HEAD,SACK,AND GROIN COMPLAINS ❑URE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 2 7 21❑ LICENSE 1 CKW1787 TAre I WA VIN# 1G1AP87HOEL226435 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED BY Gov HI 44 VEH YEAR 1984 MAKE CHEV MODEL CAMARO STYLE $D DAMAGE TOWED NOO✓ BLIN YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 9TOP 5 VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N J 25 a 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE82237 COLLISION REPORT III III III III III 111 1591972 CASE# 24-4482 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' On April 25, 2024, at 0750 hours dispatch requested that I respond to a collision that occurred at S Puget Dr and Talbot Rd S, in the city of Renton, county of King, and state of Washington. The reporting party stated that several vehicles were involved and blocking the intersection. Upon my arrival I spoke with the driver of unit 2 and he explained he was going northbound on Benson Dr S and approaching the intersection when the collision occurred. The driver of unit 2 stated that he had a green light through the intersection, but unit 1 made a right turn from S Puget Dr to Talbot Rd S. When unit 1 turned right in front of him, he was unable to bring his vehicle to a complete stop, striking unit 1's left passenger door. The collision made unit 1 spin around, striking unit 3 and unit 4 which were facing south in the left turn lane on Talbot Dr S. I then spoke with the driver of unit 1 and she admitted that she failed to see unit 2 driving northbound on Benson Dr S. She crossed in front of unit 2. 1 then spoke with the drivers of unit 3 and 4. They had a similar story as the driver of unit 2. 1 provided an exchange of information to all the drivers. The driver of unit 2 had his vehicle towed away by Bankers. The driver requested he be transported to VMC because he sustained injuries to his groin. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 04-27-24 12:31 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 513112024 4:23:47 PM BADGE OR ID# 12007 OR]# WA0171300 TIME POLICE DISPATCHED', 7:51 AM TIME POLICE ARRIVED',7:52 AM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. EE82237 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-4482 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER ADDRESS `❑ CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- �`"'j PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE ISJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:4252605898 0 9 29 LAST NAME ALUMA ORTEGA FIRST NAME : SARA MIDDLE'.. N INITIAL 0 g 30 STREET NEW AnDRFsP 16136 119TH AVE SE CITY RENTON ST WA ZIP 980585310 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 06 - O6 - 1972 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE CGW0260 TAr Wq VIN# 7FARS6H58PE031274 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2023 MAKE HOND MODEL CRV STYLE UT I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFORICARDOALUMA 16136 119TH AVE SE RENTON WA 98058 J 9 12 SHADE IN DAMAGED AREA 7 j � FROM TO LIABILITY INSURANCE INSURANCE CO USAA 03286 22 42G 71015 q"i"Olx IN EFFECT &POLICY# 1 ------- 9 9 34 13 ❑ VEHICLE YESZ NO❑ CITATION# CHARGE 0 BOTTUM LEGALLY STANDING 7 DAMAGETHRESHOLD MET PHONE ❑ 35 14 UNIT# 4 MOTOR O PEDAG ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE CYCLE OWNER �/ D:2539294304 15 ❑ LAST NAME GUDIEL-VIELMAS FIRST NAME LILIANA MIDDLE ❑ 36 INITIAL 2 STREET 16 ❑ ❑ 1620 BENSON RD S APT 315 CITY RENTON ST WA ZIP 980554565 NEn+AnnRESS CDL IGNITION REdU1REE7 IGNITION PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YES No INTERLOCK YEs N0 YEs No ❑ DRIVER'S STATE WA SEX F D.O.B 37 LICENSE# MMDDYYY` 12 - 21 - 1995 18 ❑ ❑ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ PLATE# JTMBK31 V985067760 TAr yyq VIN# 39 20 ❑ TRAILER' STATE TRAILER ST ❑ 40 PLATE#< PLATE# ATE 21 ❑ TRLR TRLR 41❑ ViN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 2008 TOYT RAV4 UT DAMAGE YES NO YES NOZI 23 ❑ REGISTERED OWNER INFO OWNED BY DRIVER SHADE IN DAMAGED AREA 43 z s 4 LIABILITY INSURANCE INSURANCE CO GENERAL 53-WA-4783238 ❑ IN VEHICLE &POLICY# <�Q 4 44 24 LE E ALE YESZ NO❑ CITATION# CHARGE LEGALLY �y STANDING 8`.� 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 04-27-24 12:31 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12007 O#IL WA0171300 JOHNSON 5131/2024 PAGE❑OF❑ 3000-345-013 IR 11t18) REPORT NO. EE82237 CASE# 24-4482 DATE AND TIME 04/25/24 07:50 OF COLLISION z B � G yit ✓ j a �a� PAGE 4 OF 4